It is very common for anxiety to disrupt concentration and cause you to lose your train of thought during work interactions. To help, Cognitive Behavioral Therapy (CBT) is excellent for building communication confidence. For medical treatments, a doctor may suggest a beta-blocker (like propranolol) taken before meetings to ease physical anxiety symptoms, or daily medications like SSRIs (such as sertraline or escitalopram) to lower overall anxiety and naturally improve your focus. Please consult a healthcare professional to discuss these options and tailor a safe, effective plan for you.

What you are experiencing could be a combination of both factors. Stopping Rival-LS (rabeprazole/levosulpiride) can cause rebound acid, leading to nausea, chest discomfort, and a sore tongue. Meanwhile, dizziness and dry, gritty eyes are common in post-COVID recovery, though continuing Inderal (propranolol) can also sometimes contribute to mild dizziness. A low fever is more typical of viral recovery than medication changes. Please rest assured, these symptoms are manageable. I highly recommend discussing this with your doctor to safely adjust your medications and evaluate your post-COVID recovery.

It is very possible that your sleep difficulties and the low humming sound you hear are related to Inderal (propranolol). Sleep disturbances are a known side effect of this medication, and some patients occasionally report tinnitus-like sounds at night. Please be reassured that while these symptoms are uncomfortable, they are not a medical emergency. You do not need to seek immediate emergency care, but you should not stop taking your medication suddenly on your own. I recommend scheduling a routine appointment with your doctor. They can safely evaluate your symptoms and discuss whether adjusting your dose or trying an alternative medication is the best step for you.

Yes, there could be a link. An elevated eosinophil count, nasal congestion, and a sore throat are classic signs of an allergic response, such as allergic rhinitis. Interestingly, beta-blockers like propranolol (Inderal) can sometimes cause or worsen nasal congestion as a side effect. While less common, some individuals can also experience allergic-like reactions to this medication. I recommend discussing these symptoms with your doctor. They can help determine if this is a common allergy or a reaction to your medication, and safely adjust your treatment plan if needed.

While propranolol (Inderal) is very helpful for certain types of shaking, it typically does not improve muscle stiffness or walking difficulties. Because these symptoms are occurring together, they might suggest a different underlying condition that responds better to other generic medications, such as levodopa. Propranolol can also cause mild side effects like tiredness, cold hands, or dizziness. I highly recommend discussing his symptoms with his doctor or a neurologist. They can safely evaluate him and tailor a treatment plan that effectively addresses his shaking, stiffness, and walking to help him feel much better.

Your normal ECG is very positive news. Since propranolol (Inderal) hasn't helped, the next steps should focus on exploring other common causes. Because this happens at bedtime, we should consider a gastrointestinal evaluation for acid reflux, which often mimics chest pressure when lying down. To fully rule out heart-related causes, your doctor might suggest a Holter monitor to track your heart rhythm at home, or an ultrasound of the heart (echocardiogram). Please discuss these options with your physician to find the right path forward.